There isn't any single option that can be considered the best strategy to back pain. Speak with doctors and the only thing they are able to tell you is that the specific condition ultimately dictates the best treatment option. If one would prescribe epidural shots or therapy or surgery without knowing the severity of the problem in question, then the patient could receive treatment that was either too excessive or too underwhelming and therefore cause much more problems.
To understand this better, let us look at three of the very most commonly prescribed treatment options for back pain - rest, therapy, and surgery - and analyze the conditions where each is deemed the best treatment for lower back pain.
o Rest - Rest is usually prescribed for lower back pain continuing. This is correct when you're in pain regularly but the pain is tolerable enough that you often push through it because it is insufficient to hamper your daily activities. Early-stage lower back pain can often be brought on by tension in the back muscles or is potentially a precursor for a herniated disc. In these instances, the best strategy to lower back pain is to set time aside of work and refrain from doing physically intensive activities like lifting heavy weights or perhaps sitting in-front of a computer for extended periods without any stretch breaks every relax time.
o Therapy - Treatments are prescribed when some mild degree of disc herniation is observed and is going to not be severe enough to want immediate surgery. A mildly herniated disc causes lower back pain because it presses on the nerve roots round the spine. Therapy including, although not restricted to chiropractic sessions, stretches the rear muscles to loosen the strain and naturally push the herniated disc back into place. Since this is a delicate procedure it requires the expertise of a chiropractor, which is a doctor skilled in physical therapy and the use of manipulative therapies to adjust the musculoskeletal structures from the back. Your physician may also recommend physical rehabilitation having a licensed physical therapist which will place you through various exercises to strengthen the rear muscles. There are other treatment methods which may be used when lower back pain reaches a moderate level despite the fact that regularly felt, isn't so severe as to impair walking and other activities. In most cases these treatments is going to be combined with medication to help relieve the pain associated with the problem.
o Surgery - When the condition is not treatable with rest, therapy, medication, or other treatments, herniated disc back surgery can become the final resort. It ought to continually be remembered that surgery carries its fair share of risks, so it's not the best option to make use of when back pain first begins. However, it's best when other procedures have failed. The specific type of surgery will depend on the nature from the herniated disc along with the severity. In certain extreme cases, the herniated disc must be removed and the remaining discs cemented together to supply mechanical rigidity towards the spine. In milder cases, shimming or lightly scrapping the protruding disc to reduce pressure around the surrounding nerves is already sufficient. There are more surgeries that may be used according to the condition.